Table 3.
Prevalence Rate of MDROs in Nursing Home Residents With Indwelling Devices Following a Targeted Infection Prevention Intervention
| Variable | No. of MDROs Isolated (%of Positive Swabs) | Value (95% Cl) | |||
|---|---|---|---|---|---|
| Intervention Group (n = 154) | Control Group (n = 162) | Cluster-Adjusted Rate Ratio, Algebraic Mean | Cluster- and Covariate-Adjusted Rate Ratio, Algebraic Mean | Cluster- and Covariate-Adjusted Rate Ratio, Geometric Mean | |
| All Indwelling Devices | |||||
| All MDROs | 1299 (26.6) | 1732(32.6) | 0.67(0.51–0.88)a | 0.65 (0.50–0.85)a | 0.77 (0.62–0.94)a |
| MRSA | 254(8.2) | 323(10.5) | 0.92(0.55–1.53) | 0.81(0.55–1.18) | 0.78 (0.64–0.96)a |
| VRE | 122 (3.9) | 162 (5.3) | 1.78(0.68–4.67) | 1.81 (0.72–4.55) | 1.20(0.82–1.75) |
| Ceftazidime-resistant GNB | 185 (5.4) | 295 (8.4) | 0.93(0.50–1.72) | 0.87(0.49–1.55) | 0.94(0.61–1.44) |
| Ciprofloxacin-resistant GNB | 738(19.5) | 952 (24.2) | 0.94(0.61–1.46) | 0.96(0.63–1.47) | 0.75 (0.58–0.97)a |
| Urinary Catheters | |||||
| All MDROs | 665 (27.0) | 784(32.8) | 0.64(0.50–0.83)a | 0.94(0.66–1.32) | 0.90(0.68–1.21) |
| MRSA | 141 (8.8) | 158(11.3) | 0.68(0.41–1.14) | 0.61 (0.40–0.93)a | 0.71 (0.58–0.86)a |
| VRE | 53(3.3) | 92 (6.6) | 1.54(0.60–3.96) | 1.45(0.61–3.43) | 0.85 (0.58–1.25) |
| Ceftazidime-resistant GNB | 89(5.2) | 112 (6.7) | 0.65 (0.41–1.02) | 0.58(0.39–0.87) | 0.57 (0.44–0.74)a |
| Ciprofloxacin-resistant GNB | 382 (19.8) | 422 (23.4) | 0.93(0.58–1.49) | 0.95(0.60–1.50) | 0.96(0.67–1.39) |
| Feeding Tubes | |||||
| All MDROs | 312(22.2) | 429 (26.9) | 0.79(0.45–1.38) | 0.77(0.45–1.31) | 0.91(0.55–1.50) |
| MRSA | 64 (6.4) | 86 (8.7) | 0.42 (0.22–0.80)a | 0.40(0.26–0.63)a | 0.56(0.38–0.82)a |
| VRE | 23(2.3) | 18(1.8) | 1.72(0.34–8.84) | 1.72(0.25–11.85) | 2.15(0.23–19.90) |
| Ceftazidime-resistant GNB | 29(2.4) | 71(6.1) | 1.79(0.34–9.44) | 2.15(0.79–5.88) | 1.24(0.27–5.63) |
| Ciprofloxacin-resistant GNB | 196(16.5) | 254(20.1) | 0.89(0.52–1.54) | 0.89(0.52–1.55) | 1.09(0.66–1.79) |
Abbreviations: GNB, gram-negative bacilli; MDROs, multi drug-resistant organisms; MRSA, methicillin-resistant Staphylococcus aureus; VRE, vancomycin-resistant enterococci.
P < .05.